Polyakov, Yelena

Polyakov, Yelena is an individual health care provider with primary practice located at 2650 Ridge Ave Anesthesiology, Rm 3905, Evanston IL 60201-1718. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Polyakov, Yelena can be contacted via phone (847) 570-2760.

Contact Information

Primary practice address
2650 Ridge Ave Anesthesiology, Rm 3905 Evanston IL 60201-1718
Phone: (847) 570-2760
Fax: (847) 570-2921
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209-005841 Illinois

Profile Details

NPI number 1659415107
LBN Legal business name Polyakov, Yelena
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659415107 NPPES
Illinois Other 209-005841 IL STATE LIC

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